English - NewYork-Presbyterian Hospital

About NewYork-Presbyterian Hospital
www.nyp.org
Patient and Visitor Guide
Preparing for Your Stay
Important Phone Numbers
(212) 312-5106
(212) 312-5000
(212) 312-5121/5122
(212) 312-5110
(212) 312-5034
NewYork-Presbyterian Hospital ranks consistently among the top hospitals in
the nation, according to U.S. News & World Report. One of the most prestigious
health care institutions in the world, the Hospital is committed to excellence in
patient care, research, education, and community service. NewYork-Presbyterian
has academic affiliations with two of the nation’s leading medical colleges:
Weill Cornell Medical College and Columbia University College of Physicians
and Surgeons.
NewYork-Presbyterian Hospital
Maternity Services
Admitting Department
General Information
Medical Records
Patient Information
Patient Services Administration
More than 6,500 affiliated physicians and 20,000 staff provide state-of-the-art
inpatient, ambulatory, and preventive care in all areas of medicine at six campuses:
NewYork-Presbyterian/Weill Cornell Medical Center, NewYork-Presbyterian/Columbia
University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital,
NewYork-Presbyterian/The Allen Hospital, NewYork-Presbyterian/Westchester
Division, and NewYork-Presbyterian/Lower Manhattan Hospital.
www.nyp.org
NewYork-Presbyterian Hospital, based in New York City, is one of the nation’s
largest and most comprehensive hospitals, with some 2,600 beds. In 2013,
there were more than 2 million inpatient and outpatient visits to the Hospital,
including close to 15,000 deliveries and more than 310,000 emergency
department visits.
Welcome
Welcome to NewYork-Presbyterian/Lower Manhattan Hospital. Here you will find a staff dedicated to
always providing the highest quality, most compassionate obstetrical, maternal-fetal, and neonatal care
and service to each and every one of our patients and their families in a warm and friendly environment.
To help ease the stress of hospitalization for you and your family members, we have developed this
Preparing for Your Stay Guide. It includes information about what to bring to the Hospital, what to
expect during your stay, and the services and amenities that will be available to make you and your
family as comfortable as possible. After reviewing the material, if you still have questions or concerns,
do not hesitate to call your doctor or ask any member of our staff for additional information. Also,
please complete the pre-registration forms in the back pocket of this Guide and send them back to the
Hospital before your due date. This will help facilitate your admission when you are ready to deliver.
The birth of your child will be one of the most important experiences in your life, and we are delighted
that you have selected our Hospital to care for you and your baby. We are one of the most comprehensive academic medical centers in the world, with leading specialists in virtually every field of medicine.
We are very proud of the outstanding care we provide to patients and families. Most importantly, we
are proud of our staff’s commitment to taking great care of you, your baby, and your family.
Thank you for the privilege of caring for you.
Very truly yours,
Steven J. Corwin, M.D.
Chief Executive Officer
NewYork-Presbyterian Hospital
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Table of Contents
Table of Contents
Our Maternity Services
Fetal Assessment......................................... 4
Family-Centered Care................................... 4
Nursing Care............................................... 5
Labor and Delivery Suite............................... 5
High Risk Pregnancy..................................... 7
What to Bring to the Hospital
Important Paperwork Checklist...................... 8
For Your Comfort Checklist........................... 8
What to Leave at Home................................ 8
Medications................................................. 9
Advance Directives..................................... 10
Labor and Delivery
Admitting Process...................................... 11
Commonly Asked Questions........................ 12
Pain Management....................................... 13
No Smoking Policy..................................... 20
Billing........................................................ 20
Insurance.................................................. 21
For Your Consideration
Private Accommodations............................ 22
Hotels....................................................... 22
Online Personal Health Record: myNYP.org... 23
For Your Comfort and Convenience
Welcome Kit.............................................. 24
Telephone Service...................................... 24
Television Service....................................... 24
Internet Access.......................................... 24
Visiting Hours............................................ 25
Information Desks...................................... 25
Preparing to Go Home
Infant Car Seat.................................................. 26
Postpartum Care
Rooming-In................................................ 14
Newborn Nursery....................................... 14
Mother and Newborn Care.......................... 15
Breastfeeding............................................ 16
Quiet Time................................................. 16
Zone of Silence.......................................... 16
Hourly Rounding......................................... 16
Newborn Assessment and Screening........... 17
Birth Certificate.......................................... 17
What to Expect
Infant Security............................................ 18
Important Patient Safety Information............ 18
Preventing Infections.................................. 19
Interpreter Services.................................... 20
Services for the Visually Impaired................ 20
Your Checklist for Discharge............................... 26
Finding Your Way Around
Directions.................................................. 27
Parking..................................................... 28
New York State Department of Health
Maternity Information Law........................... 29
Breastfeeding Mothers’ Bill of Rights............ 31
Notes.......................................................... 34
Index........................................................... 36
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Our Maternity Services
Our Maternity Services
NewYork-Presbyterian/Lower Manhattan Hospital provides comprehensive maternity services throughout
your pregnancy, from prenatal care through labor and delivery and the postpartum period. Our Obstetrics
and Gynecology Department is staffed by board-certified obstetricians and midwives. All Hospital
obstetricians and gynecologists are on the staff of NewYork-Presbyterian/Weill Cornell Medical Center,
one of the country’s major medical centers, and are members of the faculty of Weill Cornell Medical
College. This enables our patients to benefit from the expertise found in a leading academic medical
center while receiving care in the intimate setting of a community hospital. At NewYork-Presbyterian/
Lower Manhattan Hospital, patients also have access to a broad range of medical and surgical
specialists and specialty care, if necessary.
If you are coming to us from one of our NewYork-Presbyterian practices or your private obstetrician,
your medical records will be forwarded to us.
If you would like a tour of our maternity facilities, please call (212) 312-5624.
Fetal Assessment
NewYork-Presbyterian/Lower Manhattan Hospital provides a comprehensive fetal assessment that
includes:
• ultrasound scans — using sound waves to create an image of the fetus, ultrasound can measure
the baby’s size, identify certain abnormalities and, in some cases, determine whether the baby will
be a boy or girl
• first trimester prenatal screening — this test can predict risk for Down syndrome and other
chromosomal abnormalities by combining a maternal blood screening test with an ultrasound
evaluation of the fetus
• amniocentesis — this test examines a small sample of amniotic fluid for signs of chromosomal
abnormalities
Family-Centered Care
NewYork-Presbyterian Hospital strongly supports the active participation of family in the care of the
newborn. We encourage you to keep your baby at your bedside throughout the day and night. If you
feel the need to rest, we can care for your infant in the nursery. We are committed to keeping you
well-informed and educated about your baby’s care, and offer many resources and support groups
for families.
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Our Maternity Services
Nursing Care
Nursing staff is constantly present on all of our obstetrics units, including the Labor and Delivery
Suite, the Antepartum and Mother-Baby Units, the Newborn Nursery, and the Neonatal Intensive Care
Unit. Each of the nurses caring for you and your baby has received extensive, specialized education in
the birthing process, including high risk and routine pregnancies and deliveries, as well as postpartum
and newborn care. If you are hospitalized prior to delivery, these nurses will monitor you and your
unborn baby using the latest maternal and fetal monitoring technologies. The nurses strive to provide
a sensitive, safe, and healing environment that promotes comfort, respect, and privacy for you and
your baby.
Before you go home, the nurses will teach you how to care for your newborn, assist you in adjusting
to parenthood, and provide information about your baby’s physical needs and developmental changes.
Labor and Delivery Suite
Your comfort and privacy are top priorities for us. The Labor and Delivery Suite offers a comfortable,
family-friendly, and private setting decorated with warm wood tones, soothing colors, and large
windows. There are eight labor and delivery rooms and two surgical suites for Cesarean sections.
There is also a kitchen area with a microwave, a refrigerator, and an ice machine.
The Labor and Delivery Suite provides:
• obstetrical services for low and high risk pregnancies
• specialized medical and nursing staff with high nurse-to-patient staffing levels
• advanced technology to support labor and delivery
• 24-hour obstetrical anesthesiology for pain management
• proximity to a Level II state-of-the-art Neonatal Intensive Care Unit
In most cases, babies are delivered by physicians with assistance from certified nurse-midwives,
anesthesiologists, and neonatologists who are available on a 24-hour basis, if needed. Women at low
risk of complications may have their babies delivered by midwives.
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Our Maternity Services
Triage Observation Area
If your visit to the Hospital is the result of an early pregnancy concern, or you are unsure if you are in
labor, your obstetrician may recommend that you be evaluated in our triage area. He or she will
determine your activity level, whether you can eat or drink, whether fetal monitoring is necessary, and
if there is a need for intravenous fluids and/or medications.
Birthing Rooms
Our spacious and light-filled birthing rooms combine comfort with leading-edge technology. All suites
are private and equipped with a special multi-positioned birthing bed, as well as state-of-the-art
equipment for monitoring and delivering your baby. Your progress will be monitored regularly throughout labor, and your nurses will help you explore which comfort measures work best for you. In-room
amenities include a television, telephone, and full bathroom with shower, as well as a pull-out sofa bed
for the birth partner.
Operating Rooms
Two state-of-the-art operating rooms are designated for Cesarean births. In the case of most
Cesarean deliveries, your birth partner can accompany you into the operating room.
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Our Maternity Services
High Risk Pregnancy
Antepartum Care
Most women will have a healthy, normal pregnancy and will not require admission to the Hospital
prior to their delivery. However, some may experience a pregnancy complication requiring them to be
hospitalized for closer monitoring. For these expectant mothers, antepartum care is provided in our
Labor and Delivery Suite. We provide comprehensive medical and nursing care in comfortable and
supportive surroundings.
Neonatal Intensive Care Unit
Our Level II Neonatal Intensive Care Unit cares for newborns with medical issues such as low birth
weight, prematurity, and respiratory distress. This state-of-the-art facility incorporates a family
centered approach in which family members are considered a valuable part of the care team and
encouraged to participate in important treatment decisions. Additionally, specialists at NewYorkPresbyterian/Phyllis and David Komansky Center for Children’s Health at NewYork-Presbyterian/
Weill Cornell Medical Center are available around-the-clock to consult on high risk cases. If clinically
necessary, your newborn can be transferred to a Level III Neonatal Intensive Care Unit at the
Komansky Center for Children’s Health through our well-established infant transport system.
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What to Bring to the Hospital
What to Bring to the Hospital
Important Paperwork Checklist
Please bring the following information with you to the Hospital on the day of your admission, on the
day of your surgery, and for pre-admission testing. This will help the admission process go smoothly.
___ Complete list of all the prescription and over-the-counter medications that you are currently taking
___ Reports your doctor gave you to bring to the Hospital
___ Medical insurance information, including insurance cards, pre-certification, and other
documentation required by your insurer
___ Personal identification, such as a driver’s license, passport, or other appropriate identification
___ List of telephone numbers of immediate family members to call, if necessary
For Your Comfort Checklist
The Hospital provides a hospital gown, socks and slippers, and a welcome kit with an array of toiletries
and grooming items, ear plugs, a sleep mask, and lip moisturizer. You may also want to pack:
___ Your own pajamas or nightgown, bathrobe, and slippers
___ Supportive nursing bra
___ Nursing gown (open front)
___ Personal toiletries such as a comb, brush, shampoo, soap, toothbrush, and toothpaste
___ Wristwatch or portable clock (battery operated)
What to Leave at Home
• Do not bring any electrical appliances from home, such as hair dryers and other plug-in items, to
the Hospital. They are not allowed except in special circumstances.
• Jewelry, expensive clothing, or other costly items should not be brought to the Hospital. Please
leave all your valuables at home.
• The Hospital is not responsible for the loss of or damage to any personal property, including
hearing aids and eyeglasses, kept in your room.
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What to Bring to the Hospital
Medications
When you come to the Hospital, bring a list of all the medications you currently take. This list should
include all of your prescription and over-the-counter medications, vitamins, and herbal supplements.
You may want to complete the chart below to keep track of your prescription and over-the-counter
medications.
Name of Medication
Dose Amount
How Often/Time of Day
Medicine is Taken
Special Notes/
Date Started or Stopped
Allergies
Let your doctor and nurse know if you have any allergies, especially to medications and food, and/or
to other substances such as latex. Please list your allergies here.
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What to Bring to the Hospital
Advance Directives
Sometimes, because of illness or injury, patients may be unable to talk to their doctor and make decisions
about their treatment. You may want to plan in advance so that your wishes about treatment will be followed
if you become unable — for a short or long period — to decide for yourself. Following is information on
three types of Advance Directives: Health Care Proxy, Living Will, and Medical Orders for Life-Sustaining
Treatment (MOLST).
Health Care Proxy and Living Will
In New York State, individuals have the right to appoint a person to make decisions for them if they
become unable to do so. This appointed person is called a Health Care Agent. The best way to protect
your treatment wishes and concerns is to appoint a Health Care Agent by completing the Health Care
Proxy form. This form is included in the booklet, Your Rights as a Hospital Patient in New York State,
found in the pocket of this Guide. If you do not have someone to appoint as your Health Care Agent, or
you do not want to appoint someone, you can also give written instructions about your specific treatment
desires in advance. These written instructions are called a Living Will.
Medical Orders for Life-Sustaining Treatment
Medical Orders for Life-Sustaining Treatment (MOLST) is a program designed to improve the quality of
care patients receive at the end of life by translating patient goals for care and preferences into medical
orders. MOLST is based on communication among the patient, his or her Health Care Agent or another
designated surrogate decision-maker, and health care professionals to promote shared, informed medical
decision-making.
MOLST forms can be downloaded from the New York State Department of Health website at
www.health.ny.gov/professionals/patients/patient_rights/molst or www.compassionandsupport.org.
For more information about the MOLST program, visit the Department of Health’s website at
www.health.ny.gov/professionals/patients/patient_rights/molst.
The Patient Advance Directive Policy states, among other things, that the Hospital will follow any
advance directive, such as a Health Care Proxy, Living Will, or MOLST, which complies with New York
State law provided that you give a signed copy of the advance directive to the Hospital.
If you have any problems, questions, or concerns regarding your stay, please notify Patient Services
Administration at (212) 312-5034.
Organ Donation
Should you wish to consider organ donation and enroll in the New York State Donate Life Registry, you
may do so by calling the New York State Organ and Tissue Donor Registry toll-free at (866) NYDONOR or
(866) 693-6667. You may also enroll through the New York State Department of Health website at
www.health.state.ny.us/professionals/patients/donation/organ.
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Labor and Delivery
Labor and Delivery
Admitting Process
Pre-Admission Testing
If you are having a scheduled Cesarean section, you will need to have the following blood tests
performed at NewYork-Presbyterian/Lower Manhattan Hospital within 72 hours of surgery:
• a CBC (complete blood count) — a broad screening test to check for anemia, infection, and a
number of diseases
• RPR (rapid plasma reagin) — a screening test for syphilis
• a blood type confirmation
All other blood tests completed during the antenatal period remain valid and do not need to be repeated.
A sonogram may or may not be performed on the day of admission.
Day of Delivery
If you’ve spoken to your obstetrician and you were instructed to come to the Hospital, you will be
admitted directly to the Labor and Delivery Suite.
Scheduled Cesarean Delivery
If you are scheduled for a Cesarean delivery, you will be called by a member of the operating room
staff 24 to 48 hours prior to your delivery to review what you need to know. Please make sure your
most current contact information is on file with your physician.
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Labor and Delivery
Commonly Asked Questions
The following are some commonly asked questions about Labor and Delivery:
What happens when I arrive in the Labor and Delivery Suite with labor complaints but haven’t been
evaluated by my doctor?
If you arrive in the Labor and Delivery Suite with labor complaints but haven’t been evaluated by your
doctor, you will be admitted and taken to the triage room. Your doctor or another health care provider
will examine you to determine your progress in labor. An external fetal monitor may be applied to your
abdomen to assess your pattern of contractions and fetal heart rate. Depending upon the findings at
the time of your evaluation, you may be released to return home, asked to walk around until your labor
progresses, or admitted to a birthing room.
What happens once I am in a delivery room?
In the delivery room, your nurse will assess your blood pressure, pulse, and temperature, and place
you on a fetal monitor. The nurse will monitor you throughout your labor and help you explore which
comfort measures work best for you. An intravenous line may be placed to give you medication and
fluids. You may also receive ice chips to help quench your thirst. Do not eat any food without your
physician’s permission.
Who can stay with me during labor?
You can have up to two people who are older than 16 years of age with you at any given time. Your
other visitors may wait in the visitors’ lounge adjacent to the Labor and Delivery Suite.
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Labor and Delivery
How long is the typical postpartum stay for vaginal deliveries? For Cesarean deliveries?
Typically, maternity patients will be hospitalized for up to two days postpartum for vaginal deliveries
and three to four days for Cesarean deliveries.
If I am having a Cesarean delivery, who can stay with me?
If you have a Cesarean delivery, your birth partner can be with you as long as you receive an epidural
or spinal anesthesia. If you require general anesthesia, your birth partner will be taken to the recovery
room to wait for you and your baby. You will be monitored in the recovery room until the effects of
anesthesia wear off. When you are ready, you will be transported to the Mother-Baby Unit.
Can my family take pictures while I’m delivering?
Pictures may be taken during delivery. Only still photography is allowed in the labor room and
birthing/delivery room for vaginal delivery, or operating room for Cesarean delivery. Photographs are
permitted to be taken behind the anesthesia screen and in the operating room at the discretion of your
obstetrician. Videotaping is not permitted in the birthing/delivery or operating rooms, regardless of
type of delivery. Videotaping and still photography of the mother and baby are permitted in the mother’s
room on the Mother-Baby Unit. Any videotaping or photographing of staff may only be done with that
staff member’s permission.
Will I be given anything for pain relief when I go to the postpartum floor?
After delivery, your obstetrician or anesthesiologist may prescribe pain relief medications for use
during your postpartum stay, as appropriate. Your nurse will inquire regularly about your comfort and pain
level in order to assess what medication will help to keep you pain free. You will be given medication as
needed and agreed upon by you and your nurse consistent with your doctor’s orders.
Pain Management
The intensity of discomfort during labor and delivery varies from person to person. Some women may
manage well with relaxation and breathing techniques. However, most women choose some type of
pain relief. The majority of women receive analgesia (relief from pain without losing consciousness)
from an anesthesiologist. There is at least one attending obstetric anesthesiologist available whose
sole responsibility is the Labor and Delivery Suite.
The most effective methods for relief of labor pain are regional anesthetics in which medications are
placed near the nerves that carry the painful impulses from the uterus and cervix, lessening pain and
facilitating your participation in your delivery. Our anesthesiologists commonly use an epidural, spinal,
or combined spinal-epidural to minimize pain. Patients may be offered patient-controlled epidural
analgesia, which gives partial control over how much medication is received via the epidural catheter
using a computer-controlled pump. If you feel your pain relief is not acceptable, tell your nurse
immediately.
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Postpartum Care
Postpartum Care
After giving birth, you and your baby will be given a room on our Mother-Baby Unit. A welcome toiletries
kit will be provided at the time of your admission in the event you do not have your own personal
grooming items.
Rooming-In
Our family-centered care approach encourages keeping your baby with you at your bedside. This is
referred to as rooming-in or mother-baby couplet care, and provides you with an opportunity to bond
with your baby. Rooming-in allows you to get to know your baby’s behaviors and help meet his or her
feeding needs, whether you have chosen bottle feeding or breastfeeding. However, if you feel the
need to rest or you are not feeling well, your baby can be cared for in our Newborn Nursery.
Newborn Nursery
Healthy newborns are cared for in the Newborn Nursery by attending pediatricians, pediatric nurse
practitioners, mother-baby nurses, and lactation consultants. Complete care of the term and
near-term newborn from delivery through discharge, including guidance for the parent, is the focus of
the nursery team. This care includes:
• complete physical examination of infants upon admission to the nursery and again on the day of discharge
• assessment and management of breastfeeding mothers and their infants
• daily assessment of infants by the attending pediatrician and nursery health care team
• management of infants with common problems such as weight loss, jaundice, and breastfeeding issues
• performance of mandated New York State screening tests for all infants
• administration of the Centers for Disease Control recommended birth dose of hepatitis B vaccine
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Postpartum Care
Mother and Newborn Care
During your stay, our registered nurses will care for you and your baby at your bedside. Our nurses
have significant training and experience in obstetrics and postpartum care and are on call to help you
learn to care for yourself and your baby. Your baby will be bathed upon admission to the Newborn
Nursery. Should your newborn require immediate specialized care, a transitional nursery equipped to
handle any emergency is located within the Labor and Delivery Suite.
As nurse educators, our registered nurses provide instructions for taking care of yourself after a
normal vaginal delivery or Cesarean birth. Before going home with your newborn, they will instruct
you on baby care basics, including:
• feeding
• cord care
• bathing
• diapering
• circumcision care
• shaken baby syndrome
• safety
The New York State Department of Health requires you to view a video on shaken baby syndrome,
which includes ways to cope with a crying child.
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Postpartum Care
Breastfeeding
NewYork-Presbyterian Hospital recognizes and fully supports a new mother’s choice of feeding for her
newborn — breastfeeding, formula, or a combination of both. However, we are a breastfeedingfriendly hospital that acknowledges and complies with the New York State Department of Health’s
Breastfeeding Mothers’ Bill of Rights (see page 30). Because we encourage our new mothers to
exclusively breastfeed their babies, all of our nurses are thoroughly trained in breastfeeding basics,
including techniques and positioning. In addition, our International Board Certified Lactation Consultants
are registered nurses and can help breastfeeding mothers who are experiencing difficulty. Lactation
Consultants are available weekdays and most weekends to support and educate new mothers in order
to help them have a successful breastfeeding experience.
Quiet Time
All inpatient units of the Hospital observe a daily quiet time to help provide you and your family with
a calming health care environment and to enable patients to rest. Designated quiet time hours are
posted on each unit and announced when they begin. During this time, everyone on the unit is asked
to keep noise levels to a minimum.
Zone of Silence
As part of NewYork-Presbyterian’s goal to provide high quality and safe care to
our patients, we have begun a program called Zone of Silence. Studies show that
when health care staff are interrupted while writing orders, or preparing and giving
medications, errors can be made. The Zone of Silence helps to prevent these errors
by allowing doctors and nurses to perform important tasks, such as those related
to medications, without being disturbed. You will know when a staff member is in
the Zone of Silence when you see a sign or badge like the one shown here. In some areas, the Zone of
Silence is marked by red tape on the floor. If you see a staff member in the Zone of Silence, please ask
another staff member to help you instead. If you have any questions about the Zone of Silence, ask any
member of your care team.
Hourly Rounding
A member of your care team will come to your bedside approximately every hour during the day and
every two hours at night to make sure that your care and comfort needs are met. If you are awake, the
staff member will ask you about your pain level, whether you need to use the bathroom, ensure your
room is organized and free of clutter, and answer any questions you or your family members may have.
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Postpartum Care
Newborn Assessment and Screening
Apgar Score
This simple scoring system is used to evaluate the physical status of newborns. After the umbilical
cord clamp is placed and the cord is cut (by your birth partner if you wish), your baby is then dried
and wrapped warmly. The Apgar score is obtained at 1 minute and 5 minutes after birth to assess the
baby’s color, pulse, muscle tone, respiratory status, and reflexes.
Blood Tests
Your newborn will undergo blood tests to check for various conditions and diseases that cannot be seen
but may cause health problems. If identified and treated early, serious problems can often be prevented.
In New York State, all babies are required to be tested for more than 40 metabolic and genetic disorders,
even if the baby seems healthy and has no symptoms or health problems. A tiny amount of blood is taken
from the baby’s heel, collected on a special paper, and sent to the Department of Health for analysis. The
baby’s heel may have some redness at the puncture site and may have some bruising that usually goes
away in a few days. Most screening tests cannot be performed until a baby is at least 24 hours old. But
there are times when the sample may be collected before 24 hours of age, requiring the baby to have a
second specimen collected four to five days later. All babies must have the newborn screening specimen
collected before leaving the Hospital.
Critical Congenital Heart Defects Screening
In New York State, all birthing facilities are required to perform newborn screening for critical congenital
heart defects (CCHD) – the most common type of birth defects in children. Pulse oximetry is used to
screen newborns for this condition and can reduce the number of infants who are undiagnosed. This
simple and painless bedside test is done using a pulse oximeter. Sensors are placed on the baby’s skin
to determine the amount of oxygen in the blood, as well as the pulse rate. Low levels of oxygen can be
a sign of a CCHD.
Hearing Screening
In New York State, all babies are required to have their hearing checked before going home. The
purpose of the screening is to check your newborn’s ability to hear and to help identify babies who
might require further testing. Since good hearing is so essential for the development of speech and
language skills, it is important that the identification and management of a hearing impairment be done
as early as possible. A hearing screening is non-invasive and painless. The screening methods used
are otoacoustic emissions and/or auditory brainstem responses. Both procedures take only a few
minutes and can be performed while the infant is resting. A trained specialist measures your baby’s
hearing while soft sounds are played.
Birth Certificate
Following delivery, you will be given a form that needs to be completed in order to issue your baby
a birth certificate and Social Security number. If you are naming a co-parent on your baby’s birth
certificate, he or she must be present. You should receive your baby’s birth certificate and Social
Security card approximately four to six weeks following delivery.
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What to Expect
What to Expect
Infant Security
To protect the safety of your newborn, we have a comprehensive infant security program. Immediately
following birth, infants and their parents receive matching identification bands. It is our policy to verify
these bands whenever any staff member interacts with your newborn. It is our responsibility to assure
that we always match the baby with the parent.
Another important layer of security is a state-of-the-art electronic monitoring system. A lightweight
sensor is attached to the newborn’s ankle. Any attempt to move an infant out of the monitored area
toward an exit or elevator activates the security system, automatically setting off an alarm and locking
all exit points leading from the Mother-Baby Unit. In addition, any unauthorized attempt to remove the
sensor activates this alarm.
Important Patient Safety Information
At NewYork-Presbyterian Hospital, we work closely with you to make your care and your baby’s care
safe. By getting involved in your care and the care of your baby, asking questions, and speaking up,
you will help us achieve optimum outcomes.
Be Actively Involved in Your Care
Your health care team will keep you informed about your care and the care of your baby. They will listen
to your concerns, answer your questions, and explain your care plan. If English is not your primary
language and you need assistance, we will provide an interpreter for you. When you are discharged,
you will receive written instructions to take home.
Ask Questions and Speak Up
• Actively participate in treatment decisions for you and your baby.
• Ask questions about the care and treatment of yourself and of your baby.
• Ask questions about your discharge instructions.
• Tell us if you do not understand what we are saying to you.
• Ask for an interpreter if you or your support person do not understand English.
Keep Your Health Care Team Informed
• Share your medical history with your health care team.
• Tell us about your medical problems and prior surgeries.
• Tell us if you have any allergies.
Know Your Medications
When you are in the Hospital, ask about all medications you are given and why they have been
prescribed for you.
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What to Expect
Expect Staff to Check and Recheck Identification Bands
You and your baby must wear your Hospital identification (ID) bands at all times while you are in the
Hospital. Our staff is expected to review the information on your Hospital ID bands before giving you
or your baby any medications, before tests, procedures, and X-rays, and when giving you your food
tray. If the ID band comes off you or your baby or is unreadable, ask us to replace it.
Help Prevent Falls
For your protection, we strive to make every effort to prevent falls during your Hospital stay. This
includes placing your call button within reach, helping you get out of bed, and taking you for walks on
the nursing unit. If you are at risk for falling, we will take extra precautions. You will receive additional
education on preventing falls that is important for you to follow. Your safety is our top priority.
Many patient falls in hospitals occur when a patient attempts to walk to the bathroom without
assistance. Do not attempt to walk to the bathroom alone. Please call staff for assistance.
You also can help prevent falls by:
• calling a staff member if you need help getting out of bed or a chair
• letting us know if you cannot reach your call button and keeping it close to you
• wearing Hospital-provided non-skid socks or shoes when you walk around
• making sure the brakes are locked before getting in or out of a wheelchair
• if you wear glasses, making sure you have them on before you get out of bed
• following the staff’s instructions to prevent falls
Preventing Infections
Preventing infections is one of the most important goals at the Hospital. While not every infection is
preventable, many can be prevented by taking certain precautions.
Practice Hand Hygiene
One of the best ways to prevent infections is hand hygiene. Hand hygiene refers to cleaning hands with
soap and water or with an alcohol-based hand sanitizer. Alcohol-based products are an easy way to
perform hand hygiene. Throughout the Hospital, you will see hand sanitizer dispensers and bottles
in hallways and patient rooms.
Your health care team is expected to clean their hands before and after providing care to prevent the
spread of infection. They are required to use an alcohol-based hand sanitizer or wash their hands with
soap and water. If you’re not sure that your health care provider cleaned his or her hands, please ask
the provider to do so before examining you or your baby or performing a procedure. They will be glad
you reminded them.
Follow Visitor Guidelines
We want you to help prevent the spread of infection too. Ask your visitors to clean their hands before
they come into your room. If your family members or friends have an infection, such as a cold, cough,
fever, or rash, please ask them not to visit until they are well.
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What to Expect
Interpreter Services
Communication access for patients/families with limited English proficiency (LEP), speech or visual
impairment, or who are deaf or hard of hearing can be arranged by a member of our staff, free of
charge. Indicate to a member of our staff if you will need this service, and it will be arranged for you.
Services for the Visually Impaired
If you are visually impaired, our staff will assist you with forms. The Patient Bill of Rights and various
selected forms are available in Braille through Patient Services Administration.
No Smoking Policy
NewYork-Presbyterian Hospital is a completely smoke-free environment — indoors and outdoors.
Smoking is prohibited in Hospital buildings, at entrances, on all outside grounds, and in courtyards.
For information on programs that can help you stop smoking, ask your doctor or visit the Hospital’s
website at http://nyp.org/services/smoking-cessation.html.
Billing
Your Hospital bill will reflect all of the Hospital services you and your baby received during your stay.
Charges fall into two categories:
• a basic daily rate, which includes your room, meals, nursing care, and housekeeping
• charges for special services or procedures, which include operating room, recovery room, and/or
items your doctor orders for you or your baby, such as X-rays or laboratory tests
Physician Services
It is also important for you to know that the physician services you receive in the Hospital are not
included in the Hospital’s charges. Physicians bill for their services separately and may or may not participate in the same health plans as the Hospital. You should check with the physician arranging your
Hospital services to determine which plans that physician participates in.
You may also receive bills from physicians who did not see you in person, but who provided professional services related to diagnosing and interpreting test results while you were a patient. These
include pathologists, radiologists, and other specialists. NewYork-Presbyterian Hospital contracts with
a number of physician groups, such as anesthesiologists, radiologists and pathologists, to provide
services at the Hospital. Contact information for the physician groups the Hospital has contracted with
is available at http://nyp.org/payingforcare. You should contact these groups directly to find out which
health plans they participate in, of if you have questions about their bills, please call the number printed
on the statement you receive from them.
You should also check with the physician arranging for your Hospital services to determine whether
the services of any other physicians will be required for your care. Your physician can provide you with
the practice name, mailing address, and telephone number of any physicians whose services may be
needed.
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What to Expect
Your physician will also be able to tell you whether the services of any physicians contracted by the
Hospital are likely to be needed, such as anesthesiologists, radiologists and pathologists. Contact
information for these physicians is available at http://nyp.org/payingforcare. You should contact these
groups directly to find out which health plans they participate in.
Hospital Charges
Hospitals are required by law to make available information about their standard charges for the items
and services they provide. To obtain information about the Hospital’s charges visit us at http://nyp.org/
payingforcare.
Insurance
(212) 312-5029
NewYork-Presbyterian Hospital is a participating provider in many health plan networks. You can find
a list of the plans in which we participate at http://nyp.org/payingforcare. Some health plans use
smaller networks for certain products they offer so it is important to check whether we participate in
the specific plan you are covered by. Our list will tell you if we do not participate in all of a health plan’s
products.
All insured patients should familiarize themselves with the terms of their insurance coverage, including
commercial insurance carriers, HMOs, Medicare, and Medicaid. This will help you understand which
Hospital services are covered and what your responsibilities are, if any. You should also bring copies
of your insurance cards. The Hospital is responsible for submitting bills to your insurance company for
Hospital Services and will do everything it can to expedite your claim. You may receive a bill from the
Hospital for any deductible/copay/coinsurance or non-covered items, as indicated on the explanation
of benefits received from your insurance company. If you have any questions regarding your insurance
coverage, please call (212) 312-5029 or the telephone number indicated on your billing statement.
Notice to Uninsured or Underinsured Patients������������������������������������������������������������ (866) 252-0101
If you are uninsured, you will be responsible for payment of your Hospital bill unless you are eligible
for and receive coverage from other payment sources. NewYork-Presbyterian Hospital offers
assistance to patients who do not have insurance or are underinsured to determine whether there
may be other sources of payment, such as Medicaid, Workers’ Compensation, No-Fault, COBRA
benefits, or Charity Care, available to cover Hospital services rendered here.
Charity Care/Financial Aid Policy������������������������������������������������������������������������������� (866) 252-0101
NewYork-Presbyterian Hospital has a long-standing policy to assist patients who seek or receive
health care services at our Hospital and are in need of financial aid, regardless of age, gender, race,
national origin, socioeconomic or immigrant status, sexual orientation, or religious affiliation. If you
have a financial obligation to NewYork-Presbyterian and believe you cannot afford to pay, the Hospital
has a charity care/financial aid policy that can assist qualified patients. Information regarding eligibility
for charity care/financial aid and the application process is available from the Admitting Department
or by calling (866) 252-0101.
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For Your Consideration
For Your Consideration
Private Accommodations
Our Mother-Baby Unit offers both private and semi-private accommodations. Private rooms feature a
pull-out sofa bed, allowing significant others to stay overnight with mothers and babies.
If you wish to be in a private room, we will do our best to accommodate your request. However, please
understand that private accommodations are often limited and provided based on availability at the
time of your delivery.
Your insurance company typically does not reimburse you for the additional cost of a private room,
and you will be responsible for the additional out-of-pocket cost. Contact the Billling Department at
(212) 312-4108 or let your physician know if you are interested in private accommodations.
The Admitting Department can also provide current charges for private rooms. If you have a flexible
spending account through your employer, reimbursement may be available. Check with your employer
to determine eligibility.
Hotels
Families and friends of patients at NewYork-Presbyterian/Lower Manhattan Hospital may find the
following list of hotels useful. They are located in close proximity to the Hospital.
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Club Quarters Wall Street
52 William Street
New York, NY 10005
(212) 269-6400
Doubletree by Hilton
8 Stone Street
New York, NY 10004
(212) 480-9100
Millenium Hilton
55 Church Street
New York, NY 10007
(212) 693-2001
Ritz-Carlton
2 West Street
New York, NY 10004
(212) 344-0800
Holiday Inn Wall Street
51 Nassau Street
New York, NY 10038
(212) 227-3007
Best Western
231 Grand Street
New York, NY 10013
(212) 925-1177
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For Your Consideration
Online Personal Health Record: myNYP.org
New York-Presbyterian Hospital is pleased to offer myNYP.org, a free service that allows you and
your family to view and manage your medical records online. MyNYP.org puts you in charge of your
health information and offers you the ability to consolidate and organize health information in a
private account. You can easily share information with clinicians, trusted family members, and other
caregivers. Information can only be accessed and shared by you or with your permission. MyNYP.org
is conveniently accessible from any computer, tablet, or mobile device. For a full list of myNYP.org
features and content, please review the Frequently Asked Questions on the website.
Connect to myNYP.org today by following the instructions on www.mynyp.org
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For Your Comfort and Convenience
For Your Comfort and Convenience
Welcome Kit
To provide you with a warm reception to our Hospital, you will receive a welcome kit upon your admission.
Featuring products from Gilchrist & Soames, the kit includes an array of toiletries and grooming items, ear
plugs, a sleep mask, and lip moisturizer. This patient amenity kit will help meet your personal needs until you
are either discharged or can obtain grooming items from home.
Telephone Service
NewYork-Presbyterian Hospital is pleased to offer complimentary telephone service, including long
distance service within the United States.
Television Service
NewYork-Presbyterian Hospital offers complimentary television service. Programming includes network
and local stations, as well as a variety of sports, lifestyle, and movie channels, all free of charge. If you
have any questions, please speak with a member of your care team.
Internet Access
You and your family members can use a personal laptop computer and most other mobile wireless
devices in the Hospital. You can connect your computer or device to our wireless guest network, which
is designed for guests and patients at the Hospital, by selecting “GUESTNET” and entering your email
address. Most web browsers are compatible with this process.
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For Your Comfort and Convenience
Visiting Hours
NewYork-Presbyterian/Lower Manhattan Hospital has flexible visiting hours. For information on visiting
hours, please call Patient Information at (212) 312-5110. Patients or a support person, selected by the
patient when she is admitted, may decide who visits and when. Visitors may include but are not limited
to a spouse, same or opposite sex domestic partner, another family member, or a friend, for emotional
support during the course of his/her stay. Our staff will work with visitors and patients, especially those
in semi-private rooms, to allow patients time to rest and sleep. Your significant other may stay overnight
with you in private rooms only. Family and visitor waiting areas are located on each patient floor.
All visitors should check in at the Information Desk at the main entrance. Visitors who have colds or
other infections should not visit until they are well. Visiting children should be free of colds and infections, and their immunizations should be up-to-date. Please note, for the well-being of our patients,
members of the care team may limit visiting.
NewYork-Presbyterian Hospital does not restrict, limit, or otherwise deny visitation privileges based on
age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status,
sex, sexual orientation, and gender identity or expression.
Information Desks
The Information Desks provide directions and information to patients and visitors.
Main Lobby
(212) 312-5110
170 William Street
Monday through Friday, 6 am to 8 pm
Emergency Department Lobby
(212) 312-5000 ext. 3333
83 Gold Street
24 hours a day/7 days a week
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Preparing to Go Home
Preparing to Go Home
Generally, you will be discharged two days after a vaginal delivery and three to four days following
a Cesarean birth. Both your obstetrician and pediatrician must authorize discharge for you and your
baby. You will receive additional discharge information while you are in the Hospital.
Infant Car Seat
New York State requires that you have an infant car seat properly installed for the car ride home with
your newborn. Please note that our care team cannot install car seats. You will be provided with
information on infant car seat safety. Be sure you know how to buckle your baby in correctly. Car seats
are not required for taxis and buses.
Your Checklist for Discharge
Your care team wants to make sure you have everything in place when you and your baby are ready to
be discharged from the Hospital.
___ My doctor’s phone number is:_________________________________________________________
___ My baby’s pediatrician’s phone number is:_______________________________________________
___ I have an updated list of all my medications.
___ I have all the equipment and supplies I need to go home.
___ I have reviewed and understand all discharge instructions.
___ I know who to call to set up follow-up appointments or I have all follow-up appointments set up.
___ I have the name and phone number of the person to call if I have any questions during my first
week home.
___ I have transportation home from the Hospital.
In addition, the following list of questions will help you have a smooth transition home.
___ Do I have clean, comfortable clothes to wear?
___ Do I have clothes for my baby?
___ Do I have keys to my home?
___ Is there food for me to eat at home?
___ Is it the right food for my diet?
___ Do I need someone to help me at home?
___ If needed, have these arrangements been made?
___ Will I need home care services after I leave?
___ If needed, have these services been arranged?
___ What else should I ask my doctor or nurse?______________________________________________
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Finding Your Way Around
Finding Your Way Around
The Hospital’s official address and phone number are:
NewYork-Presbyterian/Lower Manhattan Hospital
170 William Street
New York, NY 10038
(212) 312-5000
Directions
NewYork-Presbyterian/Lower Manhattan Hospital is located near City Hall at 170 William Street. Situated
between Beekman, Spruce, and Gold Streets, NewYork-Presbyterian/Lower Manhattan Hospital is easily
accessible by car and public transportation.
For transportation information from the Metropolitan Transportation Authority (MTA), go to mta.info or call
(718) 330-1234. For the MTA’s lower Manhattan map, please visit mta.info/nyct/maps/lowermanhattan.
By Subway
Take the #2 or #3 to Fulton Street. Exit and proceed 2 blocks uptown from the intersection of Fulton Street
and William Street to Beekman Street. The Hospital entrance is just ahead.
Take the #4, #5, or #6 to Brooklyn Bridge – City Hall. Exit up the stairs opposite City Hall, near Pace University.
Walk south 1 block to Spruce Street, then go east a half block to the Hospital entrance at 170 William Street.
By Bus
A number of city buses serve the Hospital: M1, M6, M9, M15, M20, M22, M103, and B51.
By Downtown Alliance Connection Bus
Take the free Downtown Alliance Connection bus that has stops from Warren Street and North End
Avenue on the West Side to Fulton Street. Exit and proceed west on Fulton Street 3 blocks to Gold
Street. Turn right and go to the Hospital entrance at 83 Gold Street.
By PATH Train
Take the PATH train from New Jersey (NJ) to the World Trade Center (WTC). Exit and proceed straight
on Fulton Street 3 blocks to William Street. Make a left on William Street and go to Beekman Street.
The Hospital entrance is just ahead.
By Ferry
Staten Island Ferry Take the Staten Island Ferry to Manhattan, exit the Ferry Terminal and take the #4 or
#5 subway line at Bowling Green uptown.
New York Waterway, Seastreak Take the New York Waterway or the Seastreak to Manhattan, Pier 11 –
Wall Street. Take the M9, M15, or Downtown Alliance Connection bus and proceed uptown 5 blocks on
Water Street to Fulton Street. Proceed 3 blocks on Fulton Street to Gold Street. Turn right and go to the
Hospital entrance at 83 Gold Street.
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Finding Your Way Around
New York Water Taxi Take the New York Water Taxi to Manhattan, Pier 17 – South Street Seaport. Go
west 5 blocks on Fulton Street to Gold Street. Turn right and go to the Hospital entrance at 83 Gold Street.
Liberty Water Taxi Take the Liberty Water Taxi to Manhattan, North Cove – World Financial Center. Take
a taxi or the Downtown Alliance Connection bus and proceed uptown 1 block on North End Avenue to
Vesey Street and then right 5 blocks past the World Trade Center site to Broadway. Cross Broadway to
Ann Street and go 2 blocks east to William Street. Turn left on William Street and go 1 block to Beekman
Street and the Hospital entrance at 170 William Street.
By Car
From Manhattan’s East Side Take the FDR (East River) Drive to Brooklyn Bridge/Civic Center exit. Bear
right off ramp. Make a right on Frankfort Street to Gold Street. Make a left on Gold Street and go to the
Hospital entrance at 83 Gold Street.
From Manhattan’s West Side and Points North of New York City Take the Henry Hudson Parkway (NY9A)
to 57th Street exit. Continue downtown on the West Side (Joe DiMaggio) Highway. Make a left on
Vesey Street (1 block south of Chambers Street) to Park Row. Go 1 block and turn right on Spruce
Street. Go 1 block and turn right on Gold Street and go to the Hospital entrance at 83 Gold Street.
From Brooklyn, Staten Island, and Goethals Bridge/Outerbridge Crossing (via Brooklyn Bridge) Take the
Brooklyn Queens Expressway (BQE – I-278) to Brooklyn Bridge exit. Cross the Brooklyn Bridge and take
the Park Row South exit to the first traffic light at Park Row and Spruce Street. Turn left on Spruce Street
and go 1 block to Gold Street. Turn right and go to the Hospital entrance at 83 Gold Street.
From Brooklyn, Staten Island, and Goethals Bridge/Outerbridge Crossing, Newark Airport (via Brooklyn
Battery Tunnel) Take the Brooklyn Queens Expressway (BQE – I-278) to Brooklyn Battery Tunnel. Make a
right out of the tunnel to Trinity Place, which becomes Church Street. Turn right at Vesey Street to Park
Row. Go 1 block and turn right on Spruce Street. Go 1 block and turn right on Gold Street and go to the
Hospital entrance at 83 Gold Street.
From Holland Tunnel Take the Holland Tunnel to Canal Street. Turn right on West Broadway to Vesey
Street. Turn left on Vesey Street to Park Row. Go 1 block and turn right on Spruce Street. Go 1 block
and turn right on Gold Street and go to the Hospital entrance at 83 Gold Street.
From Queens, Long Island, LaGuardia Airport Take the Grand Central Parkway (GCP) or the Long Island
Expressway (LIE – I-495) to the Brooklyn Queens Expressway (BQE – I-278) to the Brooklyn Bridge exit.
Cross the Brooklyn Bridge and take the Park Row South exit to the first traffic light at Park Row and
Spruce Street. Turn left on Spruce Street and go 1 block to Gold Street. Turn right and go to the Hospital
entrance at 83 Gold Street.
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Parking
There are a number of public parking garages located close to the Hospital. Call (212) 312-5000 for
information.
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New York State Department of Health
NewYork-Presbyterian/Lower Manhattan Hospital
New York State Department of Health
Maternity Information Law
New York State’s Maternity Information Law requires each hospital to provide the information listed
below about its childbirth practices and procedures. This information can help you to better understand
what you can expect, learn more about your childbirth choices, and plan for your baby’s birth. Data
shown as of December 31, 2012 — the most recent statistics available.
Most of the information is given in percentages of all the deliveries occurring in the hospital during a
given year. For example, if 20 births out of 100 are by Cesarean section, the Cesarean rate will be
20 percent. If external fetal monitoring is used in 50 out of 100 births, or one-half of all births, the
rate will be 50 percent. This information alone doesn’t tell you that one hospital is better than another
for you. If a hospital has fewer than 200 births a year, the use of special procedures in just a few births
could change its rates.
The types of births could affect the rates as well. Some hospitals offer specialized services to women
who are expected to have complicated or high risk births, or whose babies are not expected to
develop normally. These hospitals can be expected to have higher rates of the special procedures than
hospitals that do not offer these services.
This information also does not tell you about your doctor’s or nurse-midwife’s practice. However, the
information can be used when discussing your choices and wishes with your doctor or nurse-midwife,
and to find out if his or her use of special procedures is similar to or different from that of the hospital.
All Births*– NewYork-Presbyterian/Lower Manhattan Hospital – 2012
NewYork-Presbyterian/
Lower Manhattan Hospital
Intervention
Number
Percent
Total births
2,795
100.0%
n/a
Forceps delivery
9
0.3%
0.4%
Internal fetal monitoring
7
0.3%
8.4%
2,705
96.8%
90.0%
39
1.4%
11.1%
Induction by medicine
256
9.2%
17.4%
Augmented labor
128
4.6%
20.1%
27
1.0%
9.5%
External fetal monitoring
Induction by artificial rupture of membranes
Attended by midwife
Statewide Percent
*Percent based on totals, excluding cases with missing information
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New York State Department of Health
Vaginal Births*– NewYork-Presbyterian/Lower Manhattan Hospital – 2012
NewYork-Presbyterian/Lower Manhattan Hospital
Intervention
Number
Percent
Statewide Percent
Vaginal births‡
1,887
71.7%
65.9%
Vaginal birth after prior Cesarean†
35
12.0%
11.3%
Breech births delivered vaginally‡
3
0.1%
0.2%
385
20.8%
15.2%
General anesthesia
10
0.5%
0.4%
Spinal anesthesia
11
0.6%
5.5%
Epidural anesthesia
945
50.1%
59.1%
Local/other anesthesia
197
10.4%
12.1%
Paracervical anesthesia
0
0.0%
0.0%
Pudendal anesthesia
1
0.1%
0.1%
Episiotomy
* Percent based on total vaginal births, excluding cases with missing information
‡ Percentage of total births
† Percentage of prior Cesareans
Cesarean Births*– NewYork-Presbyterian/Lower Manhattan Hospital – 2012
NewYork-Presbyterian/Lower Manhattan Hospital
Intervention
Number
Percent
Statewide Percent
Primary Cesarean‡
490
18.6%
20.5%
Repeat Cesarean‡
253
9.6%
13.6%
General anesthesia
15
2.0%
4.4%
Spinal anesthesia
382
51.4%
67.5%
Epidural/local anesthesia
293
39.4%
26.8%
* Percent based on total Cesarean births, excluding cases with missing information
‡ Percentage of total births
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New York State Department of Health
Breastfeeding – NewYork-Presbyterian/Lower Manhattan Hospital – 2012
NewYork-Presbyterian/Lower Manhattan Hospital
Infant Feeding Method1
Number
Percent
Statewide
Percent
Fed any breast milk
2,085
78.4%
83.3%
531
20.0%
40.6%
1,554
74.5%
51.6%
Fed exclusively breast milk
Breastfed infants supplemented with formula2
Based on liveborn infants, excluding infants who were admitted to the Neonatal Intensive Care Unit or
transferred to or from another hospital
2
Percentage is based only on infants who were fed any breast milk
1
You should play an active role in making your childbirth the kind of experience you want. To do so,
you need information. Take part in childbirth preparation classes and read books about childbirth.
Ask questions and discuss your wishes with your doctor or nurse-midwife.
A free booklet, Your Guide to a Healthy Birth, is available from the New York State Department of
Health. For your copy, write to:
Healthy Babies
New York State Department of Health
Box 2000
Albany, NY 12220
Breastfeeding Mothers’ Bill of Rights
In accordance with Article 28 of the public health law, you must receive the Breastfeeding Mothers’
Bill of Rights if you attend prenatal childbirth education classes provided by the maternal health care
facility, all hospital clinics, and diagnostic and treatment centers providing prenatal services.
Choosing the way you will feed your new baby is one of the important decisions you will make in
preparing for your infant’s arrival. Doctors agree that for most women breastfeeding is the safest and
most healthy choice. It is your right to be informed about the benefits of breastfeeding and have your
health care provider and maternal health care facility encourage and support breastfeeding.
You have the right to make your own choice about breastfeeding. Whether you choose to breastfeed or
not you have the following basic rights regardless of your race, creed, national origin, sexual orientation, gender identity or expression, or source of payment for your health care. Maternal health care
facilities have a responsibility to ensure that you understand these rights. They must provide this information clearly for you and must provide an interpreter if necessary. These rights may only be limited
in cases where your health or the health of your baby requires it. If any of the following things are not
medically right for you or your baby, you should be fully informed of the facts and be consulted.
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New York State Department of Health
Before You Deliver
NewYork-Presbyterian Hospital is required to provide the maternity information leaflet, including the
Breastfeeding Mothers’ Bill of Rights, in accordance with section 2803-i of this chapter, to each
patient or to the appointed personal representative at the time of pre-booking or time of admission
to a maternal health care facility. Each maternal health care provider shall give a copy of the
Breastfeeding Mothers’ Bill of Rights to each patient at or prior to the medically appropriate time.
You have the right to complete information about the benefits of breastfeeding for yourself and your
baby. This will help you make an informed choice on how to feed your baby.
You have the right to receive information that is free of commercial interests and includes:
• how breastfeeding benefits you and your baby nutritionally, medically, and emotionally
• how to prepare yourself for breastfeeding
• how to understand some of the problems you may face and how to solve them
In the Maternal Health Care Facility
• You have the right to have your baby stay with you right after birth whether you deliver vaginally
or by Cesarean section.
• You have the right to begin breastfeeding within one hour after birth.
• You have the right to have someone trained to help you in breastfeeding give you information and
help you when you need it.
• You have the right to have your baby not receive any bottle feeding or pacifiers.
• You have the right to know about and refuse any drugs that may dry up your milk.
• You have the right to have your baby in your room with you 24 hours a day.
• You have the right to breastfeed your baby at any time day or night.
• You have the right to know if your doctor or your baby’s pediatrician is advising against
breastfeeding before any feeding decisions are made.
• You have the right to have a sign on your baby’s crib clearly stating that your baby is breastfeeding
and that no bottle feeding of any type is to be offered.
• You have the right to receive full information about how you are doing with breastfeeding and get
help on how to improve.
• You have the right to breastfeed your baby in the neonatal intensive care unit. If nursing is not
possible, every attempt will be made to have your baby receive your pumped or expressed milk.
• If you or your baby are re-hospitalized in a maternal care facility after the initial delivery stay, the
hospital will make every effort to continue to support breastfeeding, and to provide hospital grade
electric pumps and rooming-in facilities.
• You have the right to have help from someone specially trained in breastfeeding support and
expressing breast milk if your baby has special needs.
• You have the right to have a family member or friend receive breastfeeding information from a staff
member if you request it.
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New York State Department of Health
When You Leave the Maternal Health Care Facility
• You have the right to printed breastfeeding information free of commercial material.
• You have the right, unless specifically requested by you and available at the facility, to be
discharged from the facility without discharge packs containing infant formula, or formula coupons,
unless ordered by your baby’s health care provider.
• You have the right to get information about breastfeeding resources in your community, including
information on availability of breastfeeding consultants, support groups, and breast pumps.
• You have the right to have the facility give you information to help choose a medical provider for
your baby and understand the importance of a follow-up appointment.
• You have the right to receive information about safely collecting and storing your breast milk.
• You have the right to breastfeed your baby in any location, public or private, where you are
otherwise authorized to be. Complaints can be directed to the New York State Division of
Human Rights.
All the above are your rights. If the maternal health care facility does not honor these rights, you can
seek help by contacting the New York State Department of Health or by contacting the hospital
complaint hotline at (800) 804-5447 or via email at [email protected]
NewYork-Presbyterian/Lower Manhattan Hospital
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PREPARING FOR YOUR STAY
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NewYork-Presbyterian/Lower Manhattan Hospital
PREPARING FOR YOUR STAY
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Notes
NewYork-Presbyterian/Lower Manhattan Hospital
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PREPARING FOR YOUR STAY
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Index
Index
Accommodations...........................................22
Admitting.......................................................11
Advance Directives.........................................10
Allergies..........................................................9
Antepartum Care..............................................7
Apgar Score..................................................17
Billing............................................................20
Birth Certificate..............................................17
Birthing Rooms................................................6
Breastfeeding..........................................16, 31
Call Button.....................................................19
Cesarean Delivery..........................................11
Checklist for Discharge...................................26
Checklist – Important Paperwork.......................8
Directions......................................................27
Discharge......................................................26
Electrical Appliances.........................................8
Falls Prevention..............................................19
Family-Centered Care........................................4
Fetal Assessment ............................................4
Financial Aid Policy ........................................21
Hand Hygiene................................................19
Hearing Impaired............................................20
Hearing Screening (newborns).........................17
Health Care Proxy..........................................10
High Risk Pregnancy.........................................7
Hotels...........................................................22
Identification Bands (newborns).................18, 19
Identification Bands (parents).....................18, 19
Infant Car Seat...............................................26
Infection Prevention........................................19
Information Desks..........................................25
Insurance Information.....................................21
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NewYork-Presbyterian/Lower Manhattan Hospital
Internet Access..............................................24
Interpreter Services........................................20
Labor and Delivery Suite...................................5
Laptops.........................................................24
Living Will......................................................10
Maternity Information Law ..............................29
Maternity Services............................................4
Medical Orders for Life Sustaining Treatment.......10
Medications.....................................................9
Neonatal Intensive Care Unit..............................7
Newborn Care................................................15
Newborn Nursery...........................................14
Newborn Assessment/Screening.....................17
New York State Department of Health..............29
Nursing Care....................................................5
Online Personal Health Record.........................23
Operating Rooms.............................................6
Organ Donation..............................................10
Pain Management...........................................13
Parking..........................................................28
Patient Safety................................................18
Photography..................................................13
Postpartum Care............................................14
Rooming-In.....................................................14
Security (infants)............................................18
Smoke-Free Campus......................................20
Telephone Service..........................................24
Television Service...........................................24
Valuables.........................................................8
Visiting Hours.................................................25
Visually Impaired............................................20
Welcome Kit..................................................24
Wireless Network...........................................24
(April 2015)
About NewYork-Presbyterian Hospital
www.nyp.org
Patient and Visitor Guide
Preparing for Your Stay
Important Phone Numbers
(212) 312-5106
(212) 312-5000
(212) 312-5121/5122
(212) 312-5110
(212) 312-5034
NewYork-Presbyterian Hospital ranks consistently among the top hospitals in
the nation, according to U.S. News & World Report. One of the most prestigious
health care institutions in the world, the Hospital is committed to excellence in
patient care, research, education, and community service. NewYork-Presbyterian
has academic affiliations with two of the nation’s leading medical colleges:
Weill Cornell Medical College and Columbia University College of Physicians
and Surgeons.
NewYork-Presbyterian Hospital
Maternity Services
Admitting Department
General Information
Medical Records
Patient Information
Patient Services Administration
More than 6,500 affiliated physicians and 20,000 staff provide state-of-the-art
inpatient, ambulatory, and preventive care in all areas of medicine at six campuses:
NewYork-Presbyterian/Weill Cornell Medical Center, NewYork-Presbyterian/Columbia
University Medical Center, NewYork-Presbyterian/Morgan Stanley Children’s Hospital,
NewYork-Presbyterian/The Allen Hospital, NewYork-Presbyterian/Westchester
Division, and NewYork-Presbyterian/Lower Manhattan Hospital.
www.nyp.org
NewYork-Presbyterian Hospital, based in New York City, is one of the nation’s
largest and most comprehensive hospitals, with some 2,600 beds. In 2013,
there were more than 2 million inpatient and outpatient visits to the Hospital,
including close to 15,000 deliveries and more than 310,000 emergency
department visits.